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ATI- MED SURG PROCTORED PRACTICE QUESTIONS & ANSWERS (Chapter 2 to 10,LATEST-2021, VERIFIED ANSWERS)

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Chapter2: Emergency Nursing Principles and Management

 

1.     What are the five level system of triage?

2.     Resuscitation requires what?

3.     What is required for nonurgent triage (level 5)?

4.     What is the standard precaution for primary survey during triage?

5.     What is the ABCDE principle?

6.     How to implement airway for patients who is unresponsive without suspicious of trauma?

7.     How to implement airway for patients who is unresponsive WITH suspicious trauma?

8.     How is the modified jaw thrust maneuver performed?

9.     During triage, what mask is given to patient who are spontaneously breathing?

10.                        What does the breathing assessment include?

11.                        How to assess for circulation?.

12.                        What are the precursor to shock that nurses need to be aware of?

13.                        What are some interventions that is geared toward restoring effective circulation?

14.                        What is shock?

15.                        What are some intervention that can alleviate shock?

16.                        What is the D portion of the ABCDE protocol during triage?

17.                        What is the E portion of the ABCDE protocol during triage?

18.                        What is the primary concern during the exposure phase during triage?

19.                        What can hypothermia eventually lead to?

20.                        What is a contraindication in the first 6-8 hours after the bite (poisoning)?

21.                        Antivenom is effective when?

22.                        What is considered cardiac emergency?

23.                        What is a cardiac arrest?

24.                        What is Ventricular fibrillation?

25.                        What is pulseless V. tach.?

26.                        What is v. asystole?

27.                        What is pulseless electrical activity (PEA)?

 

 

 

28.                        What are the most common causes of pulseless electrical activity?

 

5 H’s:

1.      Hypovolemia

2.      Hypoxia

3.      H+ ion accumulation à acidosis

4.      Hyperkalemia/hypokalemia

5.      Hypothermia

5 T’s:

1.      Toxins

2.      Tamponade

3.      Tension pneumothorax

4.      Thrombosis (coronary)

5.      Thrombosis (pulmonary)

 

 

 

 

 

 

 

 

 

 

 

 

 

29.                        What is an Alpha-1 Receptor site?

30.                        What is Beta-1 Receptor site?

31.                        What is a Beta-2 receptor site?

32.                        What is a dopamine receptor site?

33.                        What is the AHA ACLS protocol for VF or pulseless VT?

34.                        What is the AHA ACLS protocol for pulseless electrical activity (PEA)?

35.                        What is the AHA ACLS protocol for Asystole?

36.                        What is the post-resuscitation medication therapy following a successful cardiac arrest?

37.                        What is the contraindication/precaution for catecholamine?

38.                        How to treat extravasation with a local injection?

 

 

 

 

 

 

 

 

 

 

 

Chapter 3: Neurologic Diagnostic Procedure

 

1.     What is cerebral angiography?

2.     What is the indication of cerebral angiography?

3.     Pre-procedure for cerebral angiography?

4.     What is the intra-procedure for cerebral angiography?

5.     What is a CT scan?

6.     When do we do a CT scan on a patient?

7.     Education for pt. who are about to undergo a CT scan.

8.     What is an electroencephalography?

9.     What does Glasgow Coma Scale calculate?

10.                        A GCS score < 8 indicates what?

11.                        A GCS score >13 indicates what?

12.                        What is the range for normal ICP?

13.                        What are some complications and nursing actions need to be considered for ICP monitoring?

14.                        What is the indication for LP (spinal tap)?

15.                        If headache persists after LP procedure, what would be done?

16.                        What is an MRI?

17.                        When will a patient need an MRI testing?

18.                        What will be let our patient know prior to MRI?

19.                        What is PET/SPECT scans?

20.                        What needs to be considered when pt. is about to undergo a PET/SPECT scan?

21.                        What is an x-ray?

22.                        When will we get an x-ray done for a patient?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chapter 4: Pain Management

 

1.     What is the nurse’s role during pain management?

2.     When will a nurse check for the effectiveness of pain intervention?

3.     What substances increase pain transmission and cause an inflammatory response?

4.     What substances decreases pain transmission and produce analgesia?

5.     Self-report pain scales are useful for pt. at what ages?

 

 

 

Chapter 5: Meningitis`

 

1.     What is the most common type of meningitis?

2.     What is fungal meningitis?

3.     What is bacterial meningitis?

4.     What are the 3 vaccines that prevents bacterial meningitis? (look this up again)

5.     What is Hib vaccine?

6.     What is PPSV vaccine?

7.     What is MCV4?

8.     What are the risk factors of meningitis?

9.     What would be expected to see with meningitis pt.?

10.                        What are the physical assessment finding of meningitis pt.?

11.                        What are the laboratory tests for meningitis?

12.                        What are some diagnostic procedures for meningitis?

13.                        What are some nursing care for meningitis?

14.                        What are the medications for meningitis?

15.                        What are some complications with meningitis?

16.                        What is a sign of increased ICP?

17.                        What are some nursing interventions to reduce ICP?

18.                        What is a sign of SIADH?

19.                        What are the nursing interventions for SIADH?

 

 

 

 

 

 

Chapter 6: Seizures and Epilepsy

 

1.     Are substance withdrawal or fever consider an epilepsy?

2.     What are the risk factors for seizures?

3.     What triggers seizure?

4.     What would you find with a patient who has a generalized seizure?

5.     What is tonic-clonic seizure?

6.     What is tonic episode?

7.     What is clonic episode?

8.     What is tonic seizure?

9.     What is clonic seizure?

10.                        What is myoclonic seizure?

11.                        What is atonic or akinetic seizure?

 

12.                        What are the laboratory tests for seizure?

13.                        What are some diagnostic procedure?

14.                        What medication given for seizure pt.?

15.                        What is another therapeutic procedure for partial seizure?

16.                        What is status epilepticus?.

17.                        What is the complication for status epilepticus?

18.                        Status epilepticus à

19.                         What are the usual causes of Status Epilepticus?

20.                        What are some nursing actions for Status epilepticus?

 

 

 

 

 

 

 

Chapter 7: Parkinson’s Disease

 

1.     What is the Parkinson’s Disease?

. What are the 4 primary s/s of PD?

2.     Why do these s/s occur?

3.     What is the tx of PD focused on?

4.     What are the risk factors of PD?

5.     What would you expect to find in PD patients?

6.     What are some physical assessment findings PD?

7.     What are the lab. tests for PD?

8.     What are the types of food necessary for PD?

9.     What are the five stages of Parkinson’s disease involvement?

10.                        What are dopamine agonists?

11.                        What would the nurse need to monitor for pt. taking Bromocriptine, Ropinirole, Pramipexole?

12.                        What anticholinergic drugs use for PD pt.?

13.                        What are the SE of anticholinergic drugs?

14.                        What are the MAO-B inhibitors such as Selegiline and Rasagiline?

15.                        What to considered with Selegiline and Rasagiline?

16.                        What are antivirals drugs?

17.                        What to consider when taking Amantadine?

 

1.     What is Alzheimer’s Disease?

2.     What is dementia?

3.     What is the survival rate?

4.     What is the age system?

5.     What presence of protein increase the risk of AD?

6.     What are some nursing care for AD pt.?

7.     What medications given to Dementia pt.?

8.     What medications given to AD pt.?

9.     What nursing consideration to focus on AD?

10.                        What are alternative therapy for AD?

 

 

 

 

 

 

Chapter 9: Brain Tumors

 

Chapter 10: Multiple Sclerosis

 

 

 

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[Solved] ATI- MED SURG PROCTORED PRACTICE QUESTIONS & ANSWERS (Chapter 2 to 10,LATEST-2021, VERIFIED ANSWERS)

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Chapter2: Emergency Nursing Principles and Management 1. What are the five level system of triage? a. Level 1: Resuscitation b. Level 2: Emergent c. Level 3: Urgent d. Level 4: Less urgent e. Level 5: Nonurgent 2. Resuscitation requires what? a. Immediate treatment to prevent death 3. What is required for nonurgent triage (level 5)? a. Non life threatening condition requiring simple evaluation and care management 4. What is the standard precaution for primary survey during triage? a. Gloves b. Gowns c. Eye protection d. Face masks e. Shoe covers f. ABCDE  guides the primary survey 5. What is the ABCDE principle? a. Airway/Cervical Spine  brain injury/death = 3-5 min. if airway not patent. b. Breathing  assess presence & effectiveness of breathing. c. Circulation d. Disability e. Exposure 6. How to implement airway for patients who is unresponsive without suspicious of trauma? a. Airway opened  head tilt, chin lift maneuver 7. How to implement airway for patients who is unresponsive WITH suspicious trauma? a. Airway opened  modified jaw thrust maneuver 8. How is the modified jaw thrust maneuver performed? a. Nurse place both hands on either side of the client’s head. Locate the connection between maxilla and mandible. Lift the jaw superiorly while maintaining alignment of the cervical spine. 9. During triage, what mask is given to patient who are spontaneously breathing? a. Non-breather mask with 100% O2 source 10. What does the breathing assessment include? a. Auscultation of breath sounds b. Observation of chest expansion and respiratory effort c. Notation of rate and depth of respiration d. Identification of chest trauma e. Assessment of tracheal position f. Assessment of JVD 11. How to assess for circulation? a. Nurse assess HR, BP, peripheral pulses, and capillary refill for adequate perfusion. 12. What are the precursor to shock that nurses need to be aware of? a. Cardiac arrest b. Myocardial dysfunction c. Hemorrhage 13. What are some interventions that is geared toward restoring effective circulation? a. CPR b. Assess for external bleeding. c. Hemorrhage control d. Obtain IV access using large-bore IV catheters inserted into the antecubital fossa of both arms, unless there is obvious injury to the extremity. e. Infuse isotonic IV fluids such as Lactated Ringer’s & 0.9% NaCl &/or Blood products. 14. What is shock? a. Body response to inadequate tissue perfusion and oxygenation. It manifests with an increase HR, hypotension and result in tissue ischemia and necrosis. 15. What are some intervention that can alleviate shock? a. Administer oxygen b. Apply pressure to obvious bleeding c. Elevate lower extremities to shunt blood to vital organs d. Administer IV fluids and blood products e. Monitor VS f. Remain with client and provide reassurance and support for anxiety. 16. What is the D portion of the ABCDE protocol during triage? a. Disability  quick assessment to determine clients LOC b. Ex: AVPU (Alert, Response to Voice, Responsive to pain, Unresponsive), GCS 17. What is the E portion of the ABCDE protocol during triage? a. Exposure 18. What is the primary concern during the exposure phase during triage? a. Hypothermia  pt. core temperature 35 degree Celsius (95-degree F.) or less. i. Why hypothermia for trauma patients? Exposure, un-warmed oxygen, cold IV fluids 19. What can hypothermia eventually lead to? a. Coma, hypoxemia, and acidosis 20. What is a contraindication in the first 6-8 hours after the bite (poisoning)? a. Ice b. Tourniquets c. Heparin d. Corticosteroids 21. Antivenom is effective when? a. Within 4-12 hour and is based on type and severity of a snake bite 22. What is considered cardiac emergency? a. Cardiac arrest b. V. Fib c. Pulseless V. tach. d. V. Asystole e. Pulseless electrical activity (PEA) 23. What is a cardiac arrest? a. Sudden cessation of cardiac function causes most commonly by V. fib. or V. sys. 24. What is Ventricular fibrillation? a. Fluttering of the ventricles causing LOC, pulselessness, no breathing. Requires collaborative care to defibrillate immediately using ACLS protocol. 25. What is pulseless V. tach.? a. Irritable firing of ectopic ventricular beats at a rate of 140 to 180/min. b. Pt. overtime become unconscious and deteriorate into V. fib. 26. What is v. asystole? a. Complete absence of electrical activity and ventricular mvmt of heart. b. Pt. complete cardiac arrest  requires implementation of BLS/ACLS protocol. 27. What is pulseless electrical activity (PEA)? a. Rhythm appears to have electrical activity but is not sufficient to stimulate effective cardiac contractions and requires implementation of BLS/ACLS protocol 28. What are the most common causes of pulseless electrical activity? 29. What is an Alpha-1 Receptor site? a. Activation of receptors in the arterioles of skin, viscera, mucous membranes, veins  vasoconstriction 30. What is Beta-1 Receptor site? a. Heart stimulation leads to increased HR, increased myocardial contractility, increased rate of conduction through the AV node b. Activation of receptors in the kidney  release of renin 31. What is a Beta-2 receptor site? a. Bronchial stimulation  bronchodilation b. Activation of receptors in uterine smooth muscle  relaxation c. Activation of receptors in the liver  breakdown of glycogen into glucose d. Skeletal muscle receptor activation  muscle contraction  tremors 32. What is a dopamine receptor site? a. Activation of receptors in the kidney  renal blood vessels to dilate. 33. What is the AHA ACLS protocol for VF or pulseless VT? a. Initiate CPR BLS b. Defibrillate c. IV access d. Administer IV  antidysrhythmic medication  epi. & vasopressin e. Amiodaron...
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